Endoscopic surgery

Endoscopic surgery

Introduction

Using this minimally invasive surgical technique we can now assess and treat both the fetus (1) and the placenta along with its vessels (2).

Under local anesthesia and ultrasound guidance we introduce a 3 mm thick guide sleeve into the amniotic cavity via a maternal skin incision only a few millimeters in length. We then pass a laser fiber through a fetal endoscope to obliterate placental vessels (3 – video) and “bisect” the placenta.